CN108836406A - A kind of single laparoscopic surgical system and method based on speech recognition - Google Patents
A kind of single laparoscopic surgical system and method based on speech recognition Download PDFInfo
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Abstract
本发明公开了一种基于语音识别的单人腹腔镜手术系统和方法,其中系统包括有:腹腔镜镜头,用于获取视频图像;显示模块,用于显示腹腔镜镜头获取的视频图像;机械移动模块,用于带动腹腔镜镜头进行移动;语音识别模块,用于将语音信号转换成操作指令;驱动模块,用于接收操作指令并驱动机械移动模块作相应运动。本发明系统和方法通过语音识别系统和机械移动模块的结合,实现单人对腹腔镜手术系统的控制,调节速度快、控制精准,避免以往助手扶镜带来的目标视野误差以及操作滞后;同时还可结合测距模块可避免调节速度过快时镜头前进损伤组织,保证安全性。本发明作为一种基于语音识别的单人腹腔镜手术系统和方法可广泛应用于医疗器械领域。
The invention discloses a voice recognition-based single-person laparoscopic surgery system and method, wherein the system includes: a laparoscopic lens, used to acquire video images; a display module, used to display the video images acquired by the laparoscopic lens; mechanical movement The module is used to drive the laparoscopic lens to move; the voice recognition module is used to convert the voice signal into an operation instruction; the driving module is used to receive the operation instruction and drive the mechanical movement module to make corresponding movements. The system and method of the present invention realize the control of the laparoscopic surgery system by a single person through the combination of the speech recognition system and the mechanical moving module, with fast adjustment speed and precise control, avoiding the target field of view error and operation lag caused by the assistant holding the mirror in the past; at the same time It can also be combined with a distance measuring module to prevent the lens from moving forward and damaging tissues when the adjustment speed is too fast, ensuring safety. As a speech recognition-based single-person laparoscopic operation system and method, the present invention can be widely used in the field of medical devices.
Description
技术领域technical field
本发明涉及医疗器械领域,尤其是一种基于语音识别的单人腹腔镜手术系统和方法。The invention relates to the field of medical devices, in particular to a speech recognition-based single-person laparoscopic surgery system and method.
背景技术Background technique
腹腔镜技术日渐成熟,具有术中切口小、创伤小、出血少,术后炎症轻、恢复快、瘢痕小、住院短等优势,已经成为主流手术方式。传统腹腔镜胃癌手术中,主要由主刀医生、一助和扶镜手共同合作进行,而近年来兴起的“单孔腹腔镜”由于能够节省医疗人力资源成本而受到极大关注和研究。然而,目前腹腔镜系统能做到的仅仅是减少一名助手——这主要取决于主刀医生的手术技巧的锻炼,无需太大的手术器械的研发和改进,因而开展较快。同时由于对扶镜手的取代需要涉及到腹腔镜器械的研发和改进,难度较大,并未深入研究。仅仅作为手术医生的“眼睛”,扶镜手通过精细调整腹腔镜镜头的方位帮助主刀医生准确定位好手术视野,但毕竟主刀医生的“眼睛”不再由自己控制,而是助手控制,这中间就会存在一定目标视野的误差和滞后。因此,扶镜手的扶镜技术、对手术的理解力以及和术者之间的默契度都会影响手术的进度、流畅性、稳定性和安全性。Laparoscopic technology is becoming more and more mature, with the advantages of small intraoperative incision, small trauma, less bleeding, mild postoperative inflammation, quick recovery, small scar, and short hospital stay, and has become the mainstream surgical method. In traditional laparoscopic gastric cancer surgery, the chief surgeon, first assistant, and speculum operator work together to perform the surgery. However, the "single-port laparoscopy" that has emerged in recent years has attracted great attention and research because it can save medical human resource costs. However, the current laparoscopic system can only reduce one assistant—this mainly depends on the training of the surgeon's surgical skills, and does not require much research and development and improvement of surgical instruments, so it is carried out quickly. At the same time, because the replacement of the mirror arm needs to involve the development and improvement of laparoscopic instruments, it is difficult and has not been studied in depth. Just as the "eyes" of the surgeon, the mirror holder helps the surgeon to accurately position the surgical field of view by finely adjusting the position of the laparoscopic lens, but after all, the surgeon's "eyes" are no longer controlled by himself, but by the assistant. There will be a certain error and lag in the target field of view. Therefore, the mirror-holding technique of the mirror-handler, the understanding of the operation, and the tacit understanding with the operator will all affect the progress, fluency, stability and safety of the operation.
现有技术中,腹腔镜固定镜身的机械结构设计已相当成熟,如专利CN203303162U、CN206138352U、一款可与该系统相匹配的腹腔镜固定装置(申请号:201721394836.X),能够适合机械移动模块中腹腔镜系统电路信号对镜头的移动的需求;然而现有的腹腔镜手术系统仍需要多人操作,对操作者的要求较高,人工扶镜时扶镜手常常由于对手术的理解力有限、对手术场景的理解跟主刀医生不同步以及长时间的扶镜操作易导致手部震颤、胃癌术中解剖位置的复杂性等原因,容易出现底座歪斜、画面偏移、跟不上主刀手术节奏等情况,导致临床上很多胃癌手术并不能获得最佳手术术野和角度,可能会影响到手术医生操作的精确程度和手术流畅性及质量,甚至可能会增加术中组织损伤的风险(已经有研究表明腹腔镜手术中术野的清晰和稳定可以提高手术的安全性);同时,当扶镜质量不佳,相应的手术录像质量就下降,不能最大化发挥腹腔镜手术利于教学的优势,不利于年轻医生进行腹腔镜手术学习和同行间手术交流与借鉴提高。In the prior art, the mechanical structure design of the fixed mirror body of the laparoscope is quite mature, such as patents CN203303162U, CN206138352U, a laparoscope fixing device (application number: 201721394836. The circuit signal of the laparoscopic system in the module requires the movement of the lens; however, the existing laparoscopic surgery system still requires multiple people to operate, and the requirements for the operator are high. Limited, the understanding of the surgical scene is out of sync with the surgeon and the long-term operation of holding the mirror can easily lead to hand tremors, the complexity of the anatomical position in gastric cancer surgery, etc., and the base is prone to skew, the screen is shifted, and the surgeon cannot keep up with the operation Due to the rhythm and other conditions, many gastric cancer operations in clinical practice cannot obtain the best surgical field and angle, which may affect the accuracy of the surgeon's operation and the fluency and quality of the operation, and may even increase the risk of tissue damage during the operation (already Studies have shown that the clarity and stability of the surgical field in laparoscopic surgery can improve the safety of surgery); at the same time, when the quality of the mirror is not good, the quality of the corresponding surgical video will decline, and the advantages of laparoscopic surgery in teaching cannot be maximized. It is unfavorable for young doctors to learn laparoscopic surgery and improve surgical communication and reference among peers.
发明内容Contents of the invention
为了解决上述技术问题,本发明的目的是:提供一种基于语音识别实现快速调节和高安全性的单人腹腔镜手术系统。In order to solve the above-mentioned technical problems, the object of the present invention is to provide a single-person laparoscopic surgery system based on speech recognition to realize rapid adjustment and high safety.
为了解决上述技术问题,本发明的另一目的是:提供一种基于语音识别实现快速调节和高安全性的单人腹腔镜手术方法。In order to solve the above-mentioned technical problems, another object of the present invention is to provide a single-person laparoscopic operation method based on speech recognition to realize rapid adjustment and high safety.
本发明所采用的技术方案是:一种基于语音识别的单人腹腔镜手术系统,包括有The technical solution adopted in the present invention is: a single-person laparoscopic surgery system based on speech recognition, including
腹腔镜镜头,用于获取视频图像;Laparoscopic lens for acquiring video images;
显示模块,用于显示腹腔镜镜头获取的视频图像;Display module, is used for displaying the video image that laparoscopic lens obtains;
机械移动模块,用于带动腹腔镜镜头进行移动;The mechanical moving module is used to drive the laparoscopic lens to move;
语音识别模块,用于将语音信号转换成操作指令;A voice recognition module for converting voice signals into operating instructions;
驱动模块,用于接收操作指令并驱动机械移动模块作相应运动。The driving module is used for receiving operation instructions and driving the mechanical moving module to perform corresponding movements.
进一步,还包括有设置于腹腔镜镜头的测距模块,用于在运动过程中检测到障碍时向驱动模块发出停止指令。Further, it also includes a ranging module arranged on the laparoscope lens, which is used to send a stop instruction to the driving module when an obstacle is detected during the movement.
进一步,当测距模块在运动过程中检测到距离物体小于设定阈值时,判断检测到障碍,并向驱动模块发出停止指令。Further, when the ranging module detects that the distance to the object is less than the set threshold during the movement, it determines that an obstacle is detected, and sends a stop instruction to the driving module.
进一步,所述停止指令的优先级高于操作指令的优先级。Further, the priority of the stop instruction is higher than that of the operation instruction.
进一步,所述语音识别模块用于识别代表方向的语音信号并将其转换成相应运动方向的操作指令。Further, the speech recognition module is used to recognize the speech signal representing the direction and convert it into an operation instruction corresponding to the direction of movement.
本发明所采用的另一技术方案是:一种基于语音识别的单人腹腔镜手术方法,包括有以下步骤:Another technical solution adopted in the present invention is: a single-person laparoscopic operation method based on speech recognition, comprising the following steps:
A、显示模块将腹腔镜镜头获取的视频图像进行显示;A. The display module displays the video images acquired by the laparoscopic lens;
B、语音识别模块采集语音信号并将其转换成操作指令;B. The voice recognition module collects voice signals and converts them into operating instructions;
C、驱动模块接收操作指令并驱动机械移动模块作相应运动,从而带动腹腔镜镜头进行移动。C. The driving module receives the operation instruction and drives the mechanical moving module to move accordingly, thereby driving the laparoscopic lens to move.
进一步,还包括有步骤D:机械移动模块带动腹腔镜镜头进行移动的过程中,采用设置于腹腔镜镜头的测距模块在检测到障碍时向驱动模块发出停止指令。Further, step D is also included: during the process of moving the laparoscopic lens driven by the mechanical moving module, the distance measuring module arranged on the laparoscopic lens sends a stop command to the driving module when an obstacle is detected.
进一步,所述步骤D中,当测距模块检测到距离物体小于设定阈值时,判断检测到障碍,并向驱动模块发出停止指令。Further, in the step D, when the ranging module detects that the distance to the object is less than the set threshold, it determines that an obstacle is detected, and sends a stop instruction to the driving module.
进一步,所述停止指令的优先级高于操作指令的优先级。Further, the priority of the stop instruction is higher than that of the operation instruction.
进一步,所述步骤B具体为:所述语音识别模块识别代表方向的语音信号并将其转换成相应运动方向的操作指令。Further, the step B specifically includes: the speech recognition module recognizes the speech signal representing the direction and converts it into an operation instruction corresponding to the direction of movement.
本发明系统和方法的有益效果是:通过语音识别系统和机械移动模块的结合,实现单人对腹腔镜手术系统的控制,调节速度快、控制精准,避免以往助手扶镜带来的目标视野误差以及操作滞后;同时还可结合测距模块可避免调节速度过快时镜头前进损伤组织,保证安全性。The beneficial effects of the system and method of the present invention are: through the combination of the voice recognition system and the mechanical moving module, a single person can control the laparoscopic surgery system, the adjustment speed is fast, the control is precise, and the target field of view error caused by the assistant holding the mirror in the past is avoided And operation lag; at the same time, it can also be combined with the distance measurement module to prevent the lens from moving forward and damage the tissue when the adjustment speed is too fast, ensuring safety.
附图说明Description of drawings
图1为本发明系统的结构框图;Fig. 1 is the structural block diagram of the system of the present invention;
图2为本发明方法的步骤流程图。Fig. 2 is a flowchart of the steps of the method of the present invention.
具体实施方式Detailed ways
下面结合附图对本发明的具体实施方式作进一步说明:The specific embodiment of the present invention will be further described below in conjunction with accompanying drawing:
参照图1,一种基于语音识别的单人腹腔镜手术系统,包括有Referring to Fig. 1, a single-person laparoscopic surgery system based on speech recognition includes
腹腔镜镜头,用于获取视频图像;Laparoscopic lens for acquiring video images;
显示模块,用于显示腹腔镜镜头获取的视频图像;Display module, is used for displaying the video image that laparoscopic lens obtains;
机械移动模块,用于带动腹腔镜镜头进行移动;The mechanical moving module is used to drive the laparoscopic lens to move;
语音识别模块,用于将语音信号转换成操作指令;A voice recognition module for converting voice signals into operating instructions;
驱动模块,用于接收操作指令并驱动机械移动模块作相应运动。The driving module is used for receiving operation instructions and driving the mechanical moving module to perform corresponding movements.
语音识别模块可采集主刀医生的语音信号,对其语音信号的音节进行识别和转换,例如主刀医生术中实时根据需要发出“进”“退”“左”“右”“上”或“下”的语音,语音识别模块对其进行识别和转换,转换成相应的操作指令,例如识别到一个“退”的音节,则在原来的缩放参数λ1上减少一个单位,相应的动作即控制机械移动模块带动腹腔镜镜头后退一个单位的距离,若识别到一个“进”的音节,则相应地在原来的缩放参数λ1上增加一个单位,相应的动作即控制机械移动模块带动腹腔镜镜头前进一个单位的距离。同理,对识别到的“左”“右”、“上”“下”语音,分别对横轴参数λ2、纵轴参数λ3做相应调节。The voice recognition module can collect the voice signal of the chief surgeon, and recognize and convert the syllables of the voice signal. For example, the chief surgeon can issue "advance", "retreat", "left", "right", "up" or "down" in real time during the operation voice, the voice recognition module recognizes and converts it, and converts it into a corresponding operation command. For example, if a "back" syllable is recognized, the original scaling parameter λ1 is reduced by one unit, and the corresponding action is to control the mechanical movement module. Drive the laparoscopic lens back a distance of one unit. If a syllable of "advance" is recognized, one unit will be added to the original zoom parameter λ1 accordingly. The corresponding action is to control the mechanical movement module to drive the laparoscopic lens forward by one unit. distance. Similarly, for the recognized "left", "right", "up" and "down" voices, the horizontal axis parameter λ2 and the vertical axis parameter λ3 are adjusted accordingly.
由于本发明系统可实现单人操作,调节速度较快,因此为了避免主刀医生语音命令过快导致镜头持续前进损伤组织,进一步作为优选的实施方式,还包括有设置于腹腔镜镜头的测距模块,用于在运动过程中检测到障碍时向驱动模块发出停止指令。Since the system of the present invention can be operated by a single person and the adjustment speed is relatively fast, in order to prevent the lens from continuing to advance and damage the tissue caused by the surgeon’s voice command too fast, further as a preferred embodiment, it also includes a distance measuring module arranged on the laparoscopic lens , which is used to send a stop command to the drive module when an obstacle is detected during motion.
进一步作为优选的实施方式,当测距模块在运动过程中检测到距离物体小于设定阈值时,判断检测到障碍,并向驱动模块发出停止指令,所述阈值通常设定为1cm。As a further preferred embodiment, when the ranging module detects that the distance to the object is less than a set threshold during the movement, it judges that an obstacle is detected and sends a stop command to the drive module, and the threshold is usually set to 1cm.
进一步作为优选的实施方式,所述停止指令的优先级高于操作指令的优先级。As a further preferred implementation manner, the priority of the stop instruction is higher than that of the operation instruction.
进一步作为优选的实施方式,所述语音识别模块用于识别代表方向的语音信号并将其转换成相应运动方向的操作指令。As a further preferred embodiment, the speech recognition module is used to recognize the speech signal representing the direction and convert it into an operation instruction corresponding to the direction of movement.
参照图2,一种基于语音识别的单人腹腔镜手术方法,包括有以下步骤:With reference to Fig. 2, a kind of single-person laparoscopic operation method based on speech recognition comprises the following steps:
A、显示模块将腹腔镜镜头获取的视频图像进行显示;A. The display module displays the video images acquired by the laparoscopic lens;
B、语音识别模块采集语音信号并将其转换成操作指令;B. The voice recognition module collects voice signals and converts them into operating instructions;
C、驱动模块接收操作指令并驱动机械移动模块作相应运动,从而带动腹腔镜镜头进行移动。C. The driving module receives the operation instruction and drives the mechanical moving module to move accordingly, thereby driving the laparoscopic lens to move.
进一步作为优选的实施方式,还包括有步骤D:机械移动模块带动腹腔镜镜头进行移动的过程中,采用设置于腹腔镜镜头的测距模块在检测到障碍时向驱动模块发出停止指令。As a further preferred embodiment, it also includes step D: when the mechanical moving module drives the laparoscopic lens to move, the ranging module installed on the laparoscopic lens sends a stop command to the driving module when an obstacle is detected.
进一步作为优选的实施方式,所述步骤D中,当测距模块检测到距离物体小于设定阈值时,判断检测到障碍,并向驱动模块发出停止指令。As a further preferred embodiment, in the step D, when the ranging module detects that the distance to the object is less than the set threshold, it determines that an obstacle is detected, and sends a stop instruction to the driving module.
进一步作为优选的实施方式,所述停止指令的优先级高于操作指令的优先级。As a further preferred implementation manner, the priority of the stop instruction is higher than that of the operation instruction.
进一步作为优选的实施方式,所述步骤B具体为:所述语音识别模块识别代表方向的语音信号并将其转换成相应运动方向的操作指令。As a further preferred embodiment, the step B specifically includes: the speech recognition module recognizes a speech signal representing a direction and converts it into an operation instruction corresponding to the direction of motion.
以上是对本发明的较佳实施进行了具体说明,但本发明创造并不限于所述实施例,熟悉本领域的技术人员在不违背本发明精神的前提下还可以作出种种的等同变换或替换,这些等同的变形或替换均包含在本申请权利要求所限定的范围内。The above is a specific description of the preferred implementation of the present invention, but the invention is not limited to the described embodiments, and those skilled in the art can also make various equivalent transformations or replacements without violating the spirit of the present invention. These equivalent modifications or replacements are all within the scope defined by the claims of the present application.
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